CRYSTALIA S. WEIDNER (NPI# 1871072348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871072348 |
| Entity Type | Individual |
| Full Name | CRYSTALIA S. WEIDNER |
| Credential | PHD, HSPP |
| Practice Address |
990 Illinois St Plymouth IN 46563-3622 |
| Mailing Address |
2621 E Jefferson St Warsaw IN 46580-3880 |
| Practice Telephone | 5749369646 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
990 ILLINOIS ST |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229121 | Michele A Schricker | Social Worker | 990 Illinois St, Plymouth, IN 46563 | 2005-07-20 |
| 1447857602 | Victoria Dibiase | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2020-10-01 |
| 1326654849 | Venessa Partridge | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2020-09-21 |
| 1467090779 | Kari L. Hovermale | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2019-12-17 |
| 1538653357 | Bryanna M. Vannostran | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2018-06-15 |
| 1467952770 | Joseph Fried | Social Worker | 990 Illinois St, Plymouth, IN 46563-3622 | 2018-02-14 |
| 1801394721 | Chavonda Marshall - Jackson | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2018-01-25 |
| 1083126304 | Taylor M. Martin | Social Worker | 990 Illinois St, Plymouth, IN 46563-3622 | 2017-10-26 |
| 1699284232 | Ashley L. Jacobs | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2017-09-27 |
| 1679092159 | Grant Nicholas Kolbe | Counselor | 990 Illinois St, Plymouth, IN 46563-3622 | 2017-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861031056 | Candi Lyn Rosenberg | Psychologist | 595 Forest Ave Ste 7and11a, Plymouth, MI 48170-1775 | 2020-01-05 |
| 1255829081 | Joseph Matthew Mitchell | Psychologist | 44450 Pinetree Dr Ste 101, Plymouth, MI 48170-3869 | 2018-04-26 |
| 1164808390 | Wisconsin Lutheran Child &famliy Service, Inc | Psychologist | 3350 Harbor Ln N, Plymouth, MN 55447-5255 | 2015-08-11 |
| 1972982106 | Inspired By Me Psychological Wellness | Psychologist | 9341 N Haggerty Rd, Plymouth, MI 48170-4622 | 2015-05-20 |
| 1336564970 | Celena N Khatib | Psychologist | 340 N Main St Ste 210, Plymouth, MI 48170-1250 | 2014-02-19 |
| 1851673537 | Juvaria Javaid | Psychologist | 51248 Plymouth Ridge Dr, Plymouth, MI 48170-6366 | 2011-09-19 |
| 1770862781 | Ionela Herman | Psychologist | 41550 E Ann Arbor Trl, Plymouth, MI 48170-4308 | 2011-08-08 |
| 1548404270 | Jocelyn A Markowicz | Psychologist | 843 Penniman Ave, Plymouth, MI 48170-1757 | 2009-04-24 |
| 1063631695 | Gail Ann Thoen | Psychologist | 12525 42 Avenue North, Plymouth, MN 55441-1265 | 2007-04-24 |
| 1508984048 | Anne Marie Caldwell | Psychologist | 409 Plymouth Rd Ste 270, Plymouth, MI 48170-1842 | 2007-03-26 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.